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Lasofoxifene

Phase 3

Metastatic Breast Cancer | Small molecule | Oncology |LeonaBio, Inc.|Trials Updated: Jun 22, 2026

Lasofoxifene development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Sep 2005

Lasofoxifene target and mechanism

Molecular targetER
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment600

FDA Designations

No designations recorded

Lasofoxifene clinical trials

Lasofoxifene · 1 trial · 1 indication

Phase 3 1
NCT05696626Evaluation of Lasofoxifene Combined With Abemaciclib Compared With Fulvestrant Combined With Abemaciclib in Locally Advanced or Metastatic ER+/HER2- Breast Cancer With an ESR1 MutationMetastatic Breast Cancer
RECRUITING600 Analytics
PHASE3RECRUITING
Evaluation of Lasofoxifene Combined With Abemaciclib Compared With Fulvestrant Combined With Abemaciclib in Locally Advanced or Metastatic ER+/HER2- Breast Cancer With an ESR1 Mutation
Metastatic Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression free survival (PFS)
Within approximately 3 years

PFS is defined as the time from the date of randomization \[Visit 0 (Day 1)\] to the earliest date of first documented progression per RECIST 1.1 as determined by BICR or death due to any cause.

Secondary Endpoints

Objective response rate (ORR)
Within approximately 3 years
Overall survival (OS)
Within approximately 3 years
Clinical benefit rate (CBR)
Within approximately 3 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TreatmentEXPERIMENTALPre- and Postmenopausal Women and Men with locally advanced or metastatic ER+/HER2- breast cancer who have disease progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease and who have an ESR1 mutation.
Reference TherapyACTIVE_COMPARATORPre- and Postmenopausal Women and Men with locally advanced or metastatic ER+/HER2- breast cancer who have disease progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease and who have an ESR1 mutation.

Interventions

NameTypeDescription
Lasofoxifene in combination with abemaciclibDRUG5 mg/d of oral lasofoxifene plus oral abemaciclib 150 mg twice a day
Fulvestrant in combination with abemaciclibDRUGFulvestrant 500 mg intramuscular (IM) on Days 1, 15, and 29 and then once monthly thereafter plus oral abemaciclib 150 mg twice a day
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites224

Inclusion Criteria: 1. Pre- or postmenopausal women or men. 2. Locally advanced and/or metastatic ER+ breast cancer with radiological or clinical evidence of progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease. 3. Histol...

Countries:United StatesAustraliaBelgiumCanadaChinaFranceGermanyIsraelItalyPolandRomaniaSingaporeSouth KoreaSpainTaiwanTurkey (Türkiye)United Kingdom
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Competitive Landscape -Breast Cancer 611 trials (matched to "Metastatic Breast Cancer")

Frequently asked questions about Lasofoxifene

What is lasofoxifene used for in metastatic breast cancer?

Lasofoxifene is being studied in combination with abemaciclib for locally advanced or metastatic ER+/HER2- breast cancer that carries an ESR1 mutation. It is an investigational therapy in Phase 3 development and is not approved for this use. The trial enrolls adults with tumors that progressed on prior endocrine therapy.

What does lasofoxifene target?

Lasofoxifene targets the estrogen receptor, or ER. It is a small molecule designed to bind and modulate ER activity in ER-positive breast cancer cells. The Phase 3 study specifically enrolls patients whose tumors have an ESR1 mutation, a change that can arise after prior endocrine treatment.

Who is developing lasofoxifene?

Lasofoxifene is being developed by LeonaBio, Inc., which trades under the ticker LONA. The company is running the Phase 3 program in metastatic breast cancer. The lead study combines lasofoxifene with abemaciclib and compares it with fulvestrant plus abemaciclib.

What phase is lasofoxifene in?

Lasofoxifene is in Phase 3 clinical development for metastatic breast cancer. It is investigational and has not been approved by the FDA for this indication. The ongoing Phase 3 trial is randomized, active-controlled, and biomarker-selected for patients with an ESR1 mutation.

What clinical trials is lasofoxifene in?

Lasofoxifene is being evaluated in the Phase 3 trial NCT05696626, titled Evaluation of Lasofoxifene Combined With Abemaciclib Compared With Fulvestrant Combined With Abemaciclib in Locally Advanced or Metastatic ER+/HER2- Breast Cancer With an ESR1 Mutation. The study is recruiting and plans to enroll 600 participants across sites in the United States, Europe, Asia, and Australia.